| NPI | 1568290435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE RENEE DIXON Owner 301-455-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |